Medical school: UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated: 2022
NPI: 1790428134
Practice Locations (3)
5650 JILLSON ST
Commerce, CA 900401482
393 E WALNUT ST 3RD FL
PASADENA, CA 911880001
393 E WALNUT ST GROUP PROVIDER ENROLLMENT, UNIT 3RD FL
PASADENA, CA 911880001
Source: CMS National Downloadable File, September 2026.